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Contact Information

KATHLEEN M WOOD BACON, LICSW
183 ROCKINGHAM ROAD
WINDHAM, NH03087
 Phone: 603-434-9937
 Fax: 603-434-0427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KATHLEEN M WOOD BACON · (Female)

NPI # 1124072996
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/19/2006
Last updated 07/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NH License # LICSW1238
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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